HB 5342

relating to the provision of behavioral health crisis services,
including the operation of crisis centers and mobile crisis
outreach teams; authorizing a fee.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1.  Chapter 547, Government Code, as effective April
1, 2025, is amended by adding Subchapter K to read as follows:
SUBCHAPTER K.  BEHAVIORAL HEALTH CRISIS SERVICES
Sec. 547.0501.  988 SUICIDE AND CRISIS LIFELINE TRUST FUND.
(a)  The 988 suicide and crisis lifeline trust fund is established
as a trust fund to be held by the comptroller outside the state
treasury and administered by the commission.
(b)  The trust fund consists of:
(1)  revenue derived from the fee described by Section
(2)  legislative appropriations of money for the
(3)  available federal funding this state allocates for
the purposes of the 988 Suicide & Crisis Lifeline;
(4)  gifts, grants, and donations received by this
state for the purposes of the trust fund;
(5)  interest, dividends, and other income of the trust
(6)  money from any other source that is deposited in or
(c)  Money deposited in the trust fund may only be used to:
(1)  implement, maintain, or improve the 988 Suicide &
Crisis Lifeline, including personnel and technological
infrastructure improvements necessary to achieve operational and
clinical standards and best practices as provided by the National
(2)  provide funding for crisis outreach and other
services a community mental health center provides in response to
the 988 Suicide & Crisis Lifeline;
(3)  provide funding for uninsured individuals
receiving crisis and stabilization services;
(4)  provide personnel for crisis centers, mobile
crisis outreach teams, and youth crisis outreach teams;
(5)  fund data provision, reporting, participation in
evaluations, and other related quality improvement activities; and
(6)  administer, oversee, and evaluate the trust fund.
(d)  The state may not transfer or use trust fund assets for
any purpose other than the uses provided in this section.
(e)  The executive commissioner shall submit an annual
report to the legislature and the Federal Communications Commission
detailing the trust fund deposits and expenditures in the preceding
Sec. 547.0502.  988 SUICIDE AND CRISIS LIFELINE FEE.  (a)
The commission, in collaboration with the Commission on State
Emergency Communications, may impose a 988 suicide and crisis
lifeline service fee to supplement any federal, state, or local
funding for suicide prevention or behavioral health crisis services
(1)  local exchange access line or equivalent local
exchange access line, not including public telephone equipment
operated by coin or by card reader;
(2)  wireless telecommunications connection;
(3)  Voice over Internet Protocol service connection;
(4)  purchase of a prepaid wireless telecommunications
(b)  The executive commissioner by rule shall set the fee in
an amount sufficient to cover the costs of creating, operating, and
maintaining the suicide prevention services provided under this
subchapter, according to the national guidelines for crisis
services.  The commission shall periodically adjust the fee amount
as necessary to provide for continuous operation, volume increases,
(c)  Revenue from the fee shall be deposited in the 988
suicide and crisis lifeline trust fund established under Section
(d)  A fee collected under this section may only be used to
offset costs as provided by 47 U.S.C. Section 251a.
(e)  Revenue from the fee may not be used for expenses that
(1)  reimbursable through Medicaid, Medicare, or
another insurer or governmental program; or
(2)  covered because the service recipient's name and
health coverage information cannot be obtained or billed.
(f)  The executive commissioner shall submit an annual
report to the legislature and the Federal Communications Commission
detailing the revenue generated by the fee in the preceding year.
Sec. 547.0503.  ANNUAL REPORT.  (a)  The commission shall
prepare an annual report of the usage of crisis centers and the
services provided by the centers.
(b)  The commission shall present the annual report to the
legislature and the Substance Abuse and Mental Health Services
SECTION 2.  This Act takes effect September 1, 2025.